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Long Form

Some of these questions may not seem like they have much to do with cycling, but they will help me get to know you better!

 

Name:

Email:

Address:

Phone #:

Age:

Race Category:

Years of riding Experience:  

Years of Racing Experience:

Did you keep a training diary last year?

How many months  out of the last 12 have you trained for cycling?   

 

During this time, how many hours on average  did you train each week?  ( just guess if you don't know)

In the last 12 month, what is the max number of hours you have trained in 1 week?

 

Please describe your general training program for the last 3 months

 

 

 

What are your Primary Goals for the Year? Please list specific dates if possible:

 

Do you take any Medications or supplements:

 

Do you have any medical issues you think I should know about? If in doubt tell me!

 

What is your living situation:

 

Do you have any children in your house for which you are the caretaker?

Explain:

 

What is your work situation:

What do you do for work and how might this effect your training?

 

How many total hour a week are you able to train?

 

What days are you usually available or not available to train, and for how long?

  

What training tools to do you use?

 

Please rate yourself in the following abilities and limiters:

Endurance  

 

Force

 

Speed Skill

 

Muscular endurance

 

Anaerobic Endurance

 

 Power

What were your best results last year?  or any other year?  Is there anything else you think I should know?